信息化、网络化、整体化环环相扣无缝隙连接的现场救治新模式的创建体会

A New Model of Information-and Network-based On-site Rescue with Overall Concept and Seamless Links

目的探讨创建信息化、网络化、整体化环环相扣无缝隙连接的现场救治新模式的体会。方法比较采用ZX120急救信息预告知系统的处理组与未采用此系统的对照组60 s内完成接听呼救电话率、接收指令后出车率、院前院内衔接率;比较处理组与对照组的心血管疾病康复出院率、猝死抢救成功率、脑部创伤康复出院率的差异;同时比较两组严重多发伤(创伤严重度评分>30)患者的救治效果。结果两组60 s内完成接听呼救电话次数间差别有统计学意义(P<0.05);接到调度发出出车指令后60 s内出车台次间差别有统计学意义(P<0.05);60 s内完成院前院内衔接例次间差别有统计学意义(P<0.05)。两组心血管疾病康复出院率间差别有统计学意义(P<0.05);猝死患者抢救成功率间差别无统计学意义(P>0.05);脑部创伤患者康复出院率间差别有统计学意义(P<0.05)。两组中严重多发伤患者救治效果间差别有统计学意义(P>0.05)。结论伤病员的现场施救、信息网络告知、途中救护到院内抢救、手术住院治疗等连续性急救方式,赢得了抢救伤病员的黄金时间,构建起一条环环相扣、高效快捷的现场患者救治链,能够降低突发灾害患者的伤残率和病死率。

Objective To improve the abilities of first aid and on-site rescue for emergency accidents,mass injury of manned space flights and local warfare,and to develop a new concept of consecutive on-site rescue system characterized by information and net-working.MethodsA new on-site rescue model was set up,characterized by information,net work and consecutive management,which included on-site consultation system,mobile intensive care unit and inpatient management.Chi-square test was used to compare,between informa...